Enhanced leaf model vs. original MLC modeling in Eclipse TPS: impact on planning deliverability accuracy

<h3 dir="ltr">Purpose</h3><p dir="ltr">This study aims to compare the dosimetric accuracy between the enhanced leaf model (ELM) in Eclipse V18.0 and the traditional multileaf collimators (MLCs) modelling in Eclipse V16.1 for volumetric modulated arc therapy (VMA...

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Main Author: Aram Rostami (22045274) (author)
Other Authors: Abbass Yousef Mkanna (22045280) (author), Ahmad Basith (23770881) (author), Alla Fuad Al-Sabahi (23770884) (author), Shelton Chauke (23770887) (author), Mojtaba Barzegar (12195980) (author), Samaneh Baradaran (23770890) (author), Satheesh Prasad Paloor (22045277) (author), Rabih Hammoud (14776912) (author)
Published: 2026
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author Aram Rostami (22045274)
author2 Abbass Yousef Mkanna (22045280)
Ahmad Basith (23770881)
Alla Fuad Al-Sabahi (23770884)
Shelton Chauke (23770887)
Mojtaba Barzegar (12195980)
Samaneh Baradaran (23770890)
Satheesh Prasad Paloor (22045277)
Rabih Hammoud (14776912)
author2_role author
author
author
author
author
author
author
author
author_facet Aram Rostami (22045274)
Abbass Yousef Mkanna (22045280)
Ahmad Basith (23770881)
Alla Fuad Al-Sabahi (23770884)
Shelton Chauke (23770887)
Mojtaba Barzegar (12195980)
Samaneh Baradaran (23770890)
Satheesh Prasad Paloor (22045277)
Rabih Hammoud (14776912)
author_role author
dc.creator.none.fl_str_mv Aram Rostami (22045274)
Abbass Yousef Mkanna (22045280)
Ahmad Basith (23770881)
Alla Fuad Al-Sabahi (23770884)
Shelton Chauke (23770887)
Mojtaba Barzegar (12195980)
Samaneh Baradaran (23770890)
Satheesh Prasad Paloor (22045277)
Rabih Hammoud (14776912)
dc.date.none.fl_str_mv 2026-01-05T03:00:00Z
dc.identifier.none.fl_str_mv 10.1017/s1460396925100319
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Enhanced_leaf_model_vs_original_MLC_modeling_in_Eclipse_TPS_impact_on_planning_deliverability_accuracy/32075514
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Oncology and carcinogenesis
Engineering
Biomedical engineering
Dosimetric leaf gap
enhanced leaf model
leaf transmission factor
radiotherapy
dc.title.none.fl_str_mv Enhanced leaf model vs. original MLC modeling in Eclipse TPS: impact on planning deliverability accuracy
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3 dir="ltr">Purpose</h3><p dir="ltr">This study aims to compare the dosimetric accuracy between the enhanced leaf model (ELM) in Eclipse V18.0 and the traditional multileaf collimators (MLCs) modelling in Eclipse V16.1 for volumetric modulated arc therapy (VMAT) and stereotactic body radiotherapy (SBRT) treatments. The objective is to evaluate whether the ELM improves dose calculation accuracy and agreement with measurements in clinical practice.</p><h3 dir="ltr">Methods</h3><p dir="ltr">A retrospective analysis of 30 patients was conducted, categorized into Head-and-Neck (H&N), pelvic and lung SBRT groups. Treatment plans were created using the Acuros XB algorithm in both Eclipse versions. Gamma index pass rates for 1%/1 mm, 2%/2 mm and 3%/3 mm criteria were calculated using portal dosimetry for patient-specific quality assurance. Validation of MLC modelling was performed using closed leaf fields, sweeping gap fields, and the Picket Fence (PF) test across 6MV, 10MV, 6FFF and 10FFF photon energies.</p><h3 dir="ltr">Results</h3><p dir="ltr">Eclipse V18.0 demonstrated statistically significant improvements ( p < 0·05) in dosimetric accuracy and gamma index pass rates across all photon energies and test conditions. In fully blocked fields, dose discrepancies reduced from 1.1% in V16.1 to 0.49% in V18 for 6MV. For the 6 mm sweeping gap test, discrepancies reduced from 1.19% to 0.31% for 6MV. The 1%/1mm gamma pass rates improved from 70% to 91.8% for H&N cases and from 82.4% to 87.3% for SBRT cases.</p><h3 dir="ltr">Conclusion</h3><p dir="ltr">The ELM in Eclipse V18.0 significantly improves dose calculation accuracy and treatment deliverability, supporting its adoption in clinical practice for VMAT and SBRT to achieve better treatment accuracy and outcome.</p><h2 dir="ltr">Other Information</h2><p dir="ltr">Published in: Journal of Radiotherapy in Practice<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1017/s1460396925100319" target="_blank">https://dx.doi.org/10.1017/s1460396925100319</a></p>
eu_rights_str_mv openAccess
id Manara2_fd6191bb8dbf34fe45829dc1b94890ab
identifier_str_mv 10.1017/s1460396925100319
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/32075514
publishDate 2026
repository.mail.fl_str_mv
repository.name.fl_str_mv
repository_id_str
rights_invalid_str_mv CC BY 4.0
spelling Enhanced leaf model vs. original MLC modeling in Eclipse TPS: impact on planning deliverability accuracyAram Rostami (22045274)Abbass Yousef Mkanna (22045280)Ahmad Basith (23770881)Alla Fuad Al-Sabahi (23770884)Shelton Chauke (23770887)Mojtaba Barzegar (12195980)Samaneh Baradaran (23770890)Satheesh Prasad Paloor (22045277)Rabih Hammoud (14776912)Biomedical and clinical sciencesOncology and carcinogenesisEngineeringBiomedical engineeringDosimetric leaf gapenhanced leaf modelleaf transmission factorradiotherapy<h3 dir="ltr">Purpose</h3><p dir="ltr">This study aims to compare the dosimetric accuracy between the enhanced leaf model (ELM) in Eclipse V18.0 and the traditional multileaf collimators (MLCs) modelling in Eclipse V16.1 for volumetric modulated arc therapy (VMAT) and stereotactic body radiotherapy (SBRT) treatments. The objective is to evaluate whether the ELM improves dose calculation accuracy and agreement with measurements in clinical practice.</p><h3 dir="ltr">Methods</h3><p dir="ltr">A retrospective analysis of 30 patients was conducted, categorized into Head-and-Neck (H&N), pelvic and lung SBRT groups. Treatment plans were created using the Acuros XB algorithm in both Eclipse versions. Gamma index pass rates for 1%/1 mm, 2%/2 mm and 3%/3 mm criteria were calculated using portal dosimetry for patient-specific quality assurance. Validation of MLC modelling was performed using closed leaf fields, sweeping gap fields, and the Picket Fence (PF) test across 6MV, 10MV, 6FFF and 10FFF photon energies.</p><h3 dir="ltr">Results</h3><p dir="ltr">Eclipse V18.0 demonstrated statistically significant improvements ( p < 0·05) in dosimetric accuracy and gamma index pass rates across all photon energies and test conditions. In fully blocked fields, dose discrepancies reduced from 1.1% in V16.1 to 0.49% in V18 for 6MV. For the 6 mm sweeping gap test, discrepancies reduced from 1.19% to 0.31% for 6MV. The 1%/1mm gamma pass rates improved from 70% to 91.8% for H&N cases and from 82.4% to 87.3% for SBRT cases.</p><h3 dir="ltr">Conclusion</h3><p dir="ltr">The ELM in Eclipse V18.0 significantly improves dose calculation accuracy and treatment deliverability, supporting its adoption in clinical practice for VMAT and SBRT to achieve better treatment accuracy and outcome.</p><h2 dir="ltr">Other Information</h2><p dir="ltr">Published in: Journal of Radiotherapy in Practice<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1017/s1460396925100319" target="_blank">https://dx.doi.org/10.1017/s1460396925100319</a></p>2026-01-05T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1017/s1460396925100319https://figshare.com/articles/journal_contribution/Enhanced_leaf_model_vs_original_MLC_modeling_in_Eclipse_TPS_impact_on_planning_deliverability_accuracy/32075514CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/320755142026-01-05T03:00:00Z
spellingShingle Enhanced leaf model vs. original MLC modeling in Eclipse TPS: impact on planning deliverability accuracy
Aram Rostami (22045274)
Biomedical and clinical sciences
Oncology and carcinogenesis
Engineering
Biomedical engineering
Dosimetric leaf gap
enhanced leaf model
leaf transmission factor
radiotherapy
status_str publishedVersion
title Enhanced leaf model vs. original MLC modeling in Eclipse TPS: impact on planning deliverability accuracy
title_full Enhanced leaf model vs. original MLC modeling in Eclipse TPS: impact on planning deliverability accuracy
title_fullStr Enhanced leaf model vs. original MLC modeling in Eclipse TPS: impact on planning deliverability accuracy
title_full_unstemmed Enhanced leaf model vs. original MLC modeling in Eclipse TPS: impact on planning deliverability accuracy
title_short Enhanced leaf model vs. original MLC modeling in Eclipse TPS: impact on planning deliverability accuracy
title_sort Enhanced leaf model vs. original MLC modeling in Eclipse TPS: impact on planning deliverability accuracy
topic Biomedical and clinical sciences
Oncology and carcinogenesis
Engineering
Biomedical engineering
Dosimetric leaf gap
enhanced leaf model
leaf transmission factor
radiotherapy